Title Page

  • Site conducted

  • Conducted on

  • Crew

  • Shift

  • Inspection Completed By

  • Equipment Inspected
  • Starting Engine Hours

  • Ending Engine Hours

  • Engine Run Hours

Pre-Start

  • Equipment Is Chocked Or Ribbed To Prevent Movement

  • Operator's Station Free Of Trash, Debris, And Accumulation

  • Does The Equipment Have Any Visible Damage?

  • Describe The Visible Damage

  • Steps, Ladders, And Climbing Points In Good Condition

  • Tires And Lugnuts In Good Condition

  • Visible Oil Leaks Or Other Combustible Accumulation

  • Windshield, Windows, Mirrors Free Of Damage

  • Fire Extinguisher Or Suppression Inspected And Fire Ready

  • Engine Components (Belts, Pullies, Electrical Warning, Etc.) Visually Inspected And In Good Condition

  • Hydraulic System (Hoses, Fittings, Etc.) Inspected And In Good Condition

  • Fluid Levels Adequate To Operate Equipment (Coolant, Hydraulic, Fuel, Transmission, Etc)

  • Did You Add Fluids To The Equipment Before Operating?

  • What Fluids Did You Add

  • Seat And Seatbelts In Good Condition?

  • Wheel Chocks Available And In Good Condition?

  • Placards & Signage Posted Where Necessary And Legible

Startup

  • Does The Equipment Sound Normal?

  • Operator's Station Equipment Functional (Gauges, Screens, Dash Lights, Seat Suspension, Ect.)

  • Lights, Markers, Strobes, Illuminated Whips Functional And Visible?

  • Any Visible Leaking Components While Equipment Is Running?

  • Horn Functional And Auditable Above Ambient Noise Levels?

  • Backup Camera Functional?

  • Auto Lubrication System Full & Functional?

Operation & Funcion

  • Steering And Control Systems Functional

  • Did You Tagout The Equipment?

  • Implement Controls Functional (Buckets, Beds, Jacks, Etc.)

  • Backup/Travel Alarm Functional And Auditable Above Ambient Noise Levels?

  • Did You Tagout The Equipment?

  • Service Brakes Tested And Functional

  • Did You Tagout The Equipment?

  • Emergency Brake Tested And Functional

  • Did You Tagout The Equipment?

General Equipment Safety

  • Have You Been Tasked Trained To Operate This Equipment?

  • Is The Equipment In Safe And Operable Condition?

  • Are You Fit For Duty To Operate This Equipment

Shutdown

  • Post Operational Walkaround Completed

  • Does The Equipment Have Any Visible Damage Or Safety Defects Not Initially Observed?

  • Was The Master Switch Turned Off?

  • Location The Equipment Was Parked At The End Of Shift

Supervisor's Inspection

  • Inspected By

  • Location When Inspection Occured

  • Date And Time Of Inspection

  • Is The Equipment In Safe And Operable Condition?

  • Was The Operator Using Safe Practices And Procedures?

  • Did The Operator Perform A Pre-Operational Inspection Of The Equipment?

  • General Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.